NPI | 1699061267 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN BOURKE CEO 650-701-1460 |
Organization Subpart ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA A65939) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A65939) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2011-06-22 |