| NPI | 1902051311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA L DI STEFANO Office Manager 619-287-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA C33988) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |