| NPI | 1063596922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY K. PUROHIT President 407-284-1451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X (Licence: LA 04588R) |
| Additional Taxonomies | 208800000X Urology (Licence: LA 022744) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-08-05 |