National Provider Identifier (NPI):
1093741159
License Number:
25MA02827200
Medical School:
Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Residency Training:
Roswell Park Cancer Inst, Urology; Roswell Park Cancer Inst, General Surgery; Capital Hlth Sys-Fuld Campus, Flexible Or Transitional Year