NPI | 1528152105 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL FREDRICK SPECKART President 619-297-3737 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C31776) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2024-07-03 |