Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | D0076183 | MD |
NPI | 1033379607 |
---|---|
Provider Name | Dr. Dock Gregory Winston |
First Address | Washington, DC 20002-8100 |
Second Address | Washington, DC 20002-8100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 08/12/2021 |