Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME147871 | FL |
NPI | 1043638547 |
---|---|
Provider Name | Dr. Mohamed Samy Saleh |
First Address | Wesley Chapel, FL 33543-5497 |
Second Address | Wesley Chapel, FL 33543-5497 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2014 |
Last Update Date | 19/06/2021 |