| NPI | 1346531654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER W GIST Director 202-636-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 234985) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: NY 234985) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |