| NPI | 1205819083 |
|---|---|
| Other Name | M A ELBASTY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI01987400) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 036877) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2017-03-28 |