NPI | 1750323119 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY BOWEN President 916-779-1160 |
Organization Subpart ? | No |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery |
Enumeration Date | 2006-06-11 |
Last Update Date | 2015-03-18 |