| NPI | 1114152550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA WICHMANN Manager 415-351-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |