NPI | 1093813347 |
---|---|
Former Name | ALLAHYAR G. SAMADAEI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A38169) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MO 35768) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2022-12-13 |