National Provider Identifier (NPI):
1083674584
License Number:
25MA02221500
Medical School:
Univ Nac Auto De Nicaragua, Fac De Cien Med, Leon, Nicaragua
Residency Training:
Jersey City Med Ctr, Urology; Jersey City Med Ctr, Anatomic And Clinical Pathology; Bayonne Hosp-Dispens, Flexible Or Transitional Year