| NPI | 1679752786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAD S. DANDAN Director, Manager 858-626-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA A45893) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |