| NPI | 1912183153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIS MICHAEL GOODMAN Chair 209-577-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |