NPI | 1710650403 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DO Managing Member 408-887-7890 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 207L00000X Anesthesiology |
207R00000X Internal Medicine | |
208VP0000X Pain Medicine, Pain Medicine | |
Enumeration Date | 2021-07-28 |
Last Update Date | 2024-04-12 |