| NPI | 1922087527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FORMAN Managing Partner For Business Affai 760-439-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2014-02-06 |