| 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 |