| NPI | 1124323647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MUJABI SEPUYA President 909-882-1276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A35525) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-04-26 |