NPI | 1962573667 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWIN HOMANSKY General Partner 805-563-3011 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2009-07-30 |