| NPI | 1780601120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P BUKOWSKI President 919-785-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NC 9500849) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-02-04 |