Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 26443 | AZ |
NPI | 1033100920 |
---|---|
Provider Name | Mohammad Hani Soliman |
First Address | Yuma, AZ 85366-1869 |
Second Address | Yuma, AZ 85364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 03/12/2007 |