NPI | 1316081623 |
---|---|
Former Name | HAMLET CHARMAHALI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: CA 95221) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI02285600) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 13299) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA OMS72) | |
204E00000X Oral & Maxillofacial Surgery (Licence: NJ 25MA08020700) | |
Enumeration Date | 2007-02-19 |
Last Update Date | 2014-07-28 |