Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DN16208 | FL |
NPI | 1134149651 |
---|---|
Provider Name | Dr. Sameer Sajoo |
First Address | Fort Lauderdale, FL 33306-1048 |
Second Address | Fort Lauderdale, FL 33306-1048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |