| NPI | 1710515903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELL COBIAN Im Residency Coordinator 408-851-3817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-05-12 |