NPI | 1700058625 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNARD A MICHLIN Medical Director 619-264-2591 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G43755) |
Enumeration Date | 2008-03-31 |
Last Update Date | 2008-03-31 |