| NPI | 1710274097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J CROWLEY Managing Partner 330-345-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 57530) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35-090639) |
| 2088P0231X Urology, Pediatric Urology (Licence: OH 57530) | |
| 2088P0231X Urology, Pediatric Urology (Licence: OH 35-090639) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2012-02-16 |