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Individual

GAMAL M. GHONIEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C54137
CA
208800000X
Urology Physician
ME0080267
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C541370
CA
05
258724600
FL
Enumeration date
04/07/2006
Last updated
08/18/2011
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