| NPI | 1649607128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON J GESWALDO CEO / Medical Director 505-221-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NM A132505) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |