| NPI | 1144383092 |
|---|---|
| Former Name | HOSAM ABOCHHAB |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN013471) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30-022416) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-04-23 |