| NPI | 1790423358 |
|---|---|
| Former Name | MHD AGHYAD TARBOUSH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN26982) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-07-03 |