| NPI | 1104879121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM CLEARY Manager 858-499-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |