| NPI | 1952726242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY MORRIS PETERSON President 858-966-5863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA G21961) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA G21961) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |