| NPI | 1639409741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD DAVIS Office Manager 415-567-1956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G61002) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |