| NPI | 1609011469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WARREN GRATIAN Owner 209-529-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G36443) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |