| NPI | 1184916991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD OMRON President 408-778-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A105179) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A105179) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301069097) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301069097) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-09-12 |