| NPI | 1790080281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANKAJ D THAKER Physician 209-467-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C52147) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA C52146) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-03-01 |