| NPI | 1295736155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SULLIVAN Physician 619-692-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA B1992003399) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2010-05-03 |