| NPI | 1730392788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ROBERT LASKER President 619-443-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA G547910) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-11-01 |