| NPI | 1700037009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRUS J. MALI President 304-342-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: WV 10754) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |