| NPI | 1821889098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KUPPERMANN Owner 347-327-3399 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery | |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |