| NPI | 1871757906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RUSSO Owner 650-692-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G19800) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |