| NPI | 1033163688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSSA BANISADRE Medical Doctor 209-524-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-02-11 |