| NPI | 1952155855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAT CHANDRA Office Manager 818-605-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology |
| 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery | |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-05-06 |