| NPI | 1912450289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO GOUSSE Mgrm 954-362-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |