| NPI | 1891801122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FREDERICK LILJA Director 408-827-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G85643) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A068842) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-10-09 |