| NPI | 1487675757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ROTTENBERG M.D. 718-738-1839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 097895) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 150681) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-10-07 |