NPI | 1194031195 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS MICHAEL SUSKO Owner 310-829-5557 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 118282) |
Enumeration Date | 2010-08-27 |
Last Update Date | 2017-02-21 |