| NPI | 1700067063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDAN M CLARKE Owner 831-998-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G64292) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2010-01-07 |