NPI | 1639239528 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK JORDAN SONTAG Owner 650-306-9490 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
Enumeration Date | 2006-12-11 |
Last Update Date | 2008-02-01 |