NPI | 1790216828 |
---|---|
Former Name | SUZANNE KISSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CO DR.0072954) |
Additional Taxonomies | 208800000X Urology (Licence: UT 10964181-1205) |
208800000X Urology (Licence: TX T8250) | |
Enumeration Date | 2017-03-21 |
Last Update Date | 2024-07-01 |