| NPI | 1689846404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROBERT LEWIN Assistant Professor 415-353-8309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA A73541) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |