| NPI | 1255180295 |
|---|---|
| Former Name | MHD IEAD NASER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA DN10000278) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-06-28 |