| NPI | 1346520905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL A. CRISTE CEO 415-884-1840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G72742) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CA A111326) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2012-07-24 |