| NPI | 1710208681 |
|---|---|
| Other Name | MIKE THOMAS MARSHALL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A117561) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101266024) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2021-09-21 |