| NPI | 1366800823 |
|---|---|
| Former Legal Business Name | HENRY P SIDEROPOULOS MD INC |
| Entity Type | Organization |
| Authorized Contact | HENRY P SIDEROPOULOS Md 909-484-2865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G42050) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-07-29 |