| NPI | 1154377109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIPPE ROBERT EDOUARD Owner 707-322-5679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C51257) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-03-24 |