NPI | 1063462521 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER P KOENIG 5 Percet Or More Ownership Interest 818-528-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A23943) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A23943) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2011-01-11 |