| NPI | 1184038093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SAMUEL FIERER Surgeon 760-845-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2015-06-24 |