| NPI | 1063640738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BETANCOURT Director Of Finance 415-543-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2085R0001X |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2023-07-24 |