NPI | 1396360962 |
---|---|
Former Legal Business Name | SHAMOON DOCTOR, MD PA |
Entity Type | Organization |
Authorized Contact | SHAMOOM DOCTOR Physician Owner 830-313-6032 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |