NPI | 1619051521 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD T. SENN Owner 765-453-4654 |
Organization Subpart ? | No |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: IN 50001606A) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |