| NPI | 1164710638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL BRYAN WILLIAMS Medical Doctor 510-595-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA a72340) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |