NPI | 1750577540 |
---|---|
Entity Type | Organization |
Authorized Contact | NIKKI LYNN MARTIN President 510-467-9156 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A035728) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A035728) |
Enumeration Date | 2007-09-14 |
Last Update Date | 2007-09-14 |