NPI | 1104294800 |
---|---|
Doing Business As | JOSE A CHAMORRO MD |
Entity Type | Organization |
Authorized Contact | SHADEN MARZOUK President 239-931-7254 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2015-09-11 |
Last Update Date | 2023-10-05 |