| NPI | 1154641371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ELL KHAN Independent Duty Corpsman 858-382-1143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1710I1002X Military Health Care Provider, Independent Duty Corpsman |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |