NPI | 1811401326 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD PETERSON Cbo Director Of Operations 646-605-8145 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Additional Taxonomies | 207R00000X Internal Medicine |
2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery | |
2088P0231X Urology, Pediatric Urology | |
Enumeration Date | 2017-11-20 |
Last Update Date | 2017-11-20 |