NPI | 1437806197 |
---|---|
Doing Business As | MODERN UROLOGY |
Entity Type | Organization |
Authorized Contact | ADAM MICHAEL DE FAZIO Physician 954-770-1666 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2022-03-03 |
Last Update Date | 2022-07-24 |