NPI | 1063185825 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA HERNANDEZ Manager 561-300-2410 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery |
Enumeration Date | 2021-07-28 |
Last Update Date | 2022-02-23 |