| NPI | 1770783995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATISH V DHOLAKIA President 606-248-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 23759) |
| Additional Taxonomies | 208800000X Urology (Licence: KY 23755) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |