| NPI | 1962677781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSSA BANISADRE Md Owner 209-524-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A38740) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-07-11 |