| NPI | 1598021578 |
|---|---|
| Other Name | AMIR FARHAD AZARISAMANI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: OR D9793) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN19828) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: OR MD187266) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-08-27 |