| NPI | 1174672257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSU H LAI Physician 760-242-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A39956) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2010-09-13 |