NPI | 1609011329 |
---|---|
Other Name | BRETT FISHBURN HOLT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: VA 0101252224) |
Additional Taxonomies | 208800000X Urology (Licence: VA 0116018653) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2020-11-12 |