| NPI | 1861064719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHUL SHARMA CEO 408-717-0841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-08-10 |