National Provider Identifier (NPI):
1356429377
License Number:
25MA04155500
Medical School:
Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Residency Training:
Univ Il Coll Of Med, Urology; Montefiore M C-H&l Moses Div, Urology; Long Island Jewish Med Ctr, General Surgery