| NPI | 1083959563 |
|---|---|
| Doing Business As | KASRAEIAN UROLOGY |
| Entity Type | Organization |
| Authorized Contact | AHMAD KASRAEIAN CEO 904-727-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |