| NPI | 1114167152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HART Billing Department 619-287-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A86958) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |