| NPI | 1801818760 |
|---|---|
| Other Name | DOMINIC FAVALE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD478550) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 157064) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2023-10-20 |