Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A82484 | CA |
NPI | 1326079765 |
---|---|
Provider Name | Amir Masoud Karam |
First Address | San Diego, CA 92130 |
Second Address | San Diego, CA 92130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 08/07/2007 |