Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | C1-0010973 | DE |
NPI | 1346383486 |
---|---|
Provider Name | Amro H. Shihabi |
First Address | Newark, DE 19713 |
Second Address | Wilmington, DE 19899 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 15/07/2014 |