NPI | 1619006509 |
---|---|
Other Name | SAMER SHOUKFEH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018470) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-03-05 |
Last Update Date | 2021-04-22 |