| NPI | 1992917512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE JOSEPH BASILIERE President 619-427-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A42602) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |