NPI | 1700103561 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT THOMAS ROCCO President 909-886-6986 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A50693) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A66917) |
Enumeration Date | 2010-05-03 |
Last Update Date | 2010-05-03 |