NPI | 1578727442 |
---|---|
Former Legal Business Name | AHMAD KASRAEIAN MD |
Entity Type | Organization |
Authorized Contact | AHMAD KASRAEIAN President 904-727-7955 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2008-07-10 |
Last Update Date | 2008-10-03 |