| NPI | 1093736605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E LESNICK Vice President 757-594-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-01-13 |