NPI | 1437850369 |
---|---|
Former Name | ABDEL HADE DABBAGH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2025002245) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2356181) |
Enumeration Date | 2023-03-16 |
Last Update Date | 2025-07-07 |