| NPI | 1821167628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANDRADE Credentialing Coordinator 408-918-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2025-06-10 |