| 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 |