| NPI | 1770926743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CAPERNA Owner 619-795-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A49951) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A49951) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2017-01-10 |