| NPI | 1972529162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANNA MOORE Practice Administrator 415-846-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G27171) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G28782) |
| 207L00000X Anesthesiology (Licence: CA G27171) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G28782) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-09-29 |