| NPI | 1396282406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB WOLF Credentialing Department 209-956-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C138466) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2019-10-03 |