| NPI | 1851798722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO SINENSE Owner 414-444-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WI 21373) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 63211) |
| 208D00000X General Practice (Licence: WI 23173) | |
| 363A00000X Physician Assistant (Licence: WI 1865) | |
| 363A00000X Physician Assistant (Licence: WI 2138) | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |