| NPI | 1134324668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GANESAN Partner 702-369-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NV 6402) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-12 |