NPI | 1649574500 |
---|---|
Doing Business As | KASRAEIAN UROLOGY DIVISON OF ICON |
Entity Type | Organization |
Authorized Contact | AHMAD KASRAEIAN Kasraeian Urology Division Manager 904-727-7955 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2011-01-06 |
Last Update Date | 2012-06-15 |