| NPI | 1689018228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARS RICARDO NEWSOME President 858-429-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA C42281) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |