Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 22392 | NC |
NPI | 1073504734 |
---|---|
Provider Name | Dr. Hazem El-Droubi |
First Address | Rockingham, NC 28379-5203 |
Second Address | Rockingham, NC 28379-5203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8930324 | (05) | NC |
C81033 | (02) | NC |