| NPI | 1306138706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY NORMAN GOTT Owner 909-268-5645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G65566) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2013-01-17 |