| NPI | 1215142369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIPP M LIPPE President 408-927-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G5286) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |