| NPI | 1316187180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA WICHMANN Manager 415-345-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 88448) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA 88448) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 88448) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2010-08-30 |