| NPI | 1902108293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME GARY DAVIDSON Managing Partner 818-700-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2013-07-22 |