NPI | 1316963721 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL W ROMEO Family Practice M.D 209-216-3456 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA G85879) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2023-03-07 |