| NPI | 1891386843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA NGO Credential Rep 657-900-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |