| NPI | 1750787677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO SINENSE Physician/Owner 414-444-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2015-05-11 |