| NPI | 1356912661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DEARMAN Director 415-353-3236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208800000X Urology | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |