| NPI | 1255435343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS JACKSON SCHANNE President Group Administrator 302-571-8958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: DE 2003100929) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2014-11-20 |