| NPI | 1194758342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADE SALAKO Practice Administrator 415-202-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2015-04-15 |