| NPI | 1952316812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD IRVELT BAZILE Owner 619-286-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2014-07-11 |