| NPI | 1639453954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURAPANENI P RAMANADHARAO Physician/Owner 207-942-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: ME 9356) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |