| NPI | 1760077804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAISAL M GILL Legal Counsel 310-418-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-02 |