NPI | 1275639908 |
---|---|
Entity Type | Organization |
Authorized Contact | JENI R BENNETT Credentialing Manager 937-435-6136 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: OH 35-086518) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2008-06-20 |