NPI | 1841624582 |
---|---|
Entity Type | Organization |
Authorized Contact | TOBIAS MOELLER-BERTRAM Medical Director 415-317-5790 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A80383) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: HI MD16880) |
Enumeration Date | 2013-08-29 |
Last Update Date | 2013-08-29 |