NPI | 1629721196 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER GOLL CEO 408-937-3601 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208D00000X General Practice | |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |