| NPI | 1750440194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA E HAWK Office Manager 510-451-6074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C337330) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA C337330) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C337330) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |