| NPI | 1104282441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ROSINA Credetntialing Specialist 415-499-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G078848) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2016-01-08 |