| NPI | 1942435771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LAXER Owner 415-287-6746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G28500) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |