NPI | 1376813295 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURENCE BASKIN Chief Of Pediatric Urology 415-476-1611 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 652635) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2012-01-10 |