Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 1834 | PR |
NPI | 1063556207 |
---|---|
Provider Name | Dr. Wadih Naim |
First Address | Guaynabo, PR 00966-3166 |
Second Address | San Juan, PR 00918-8001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2007 |
Last Update Date | 08/07/2007 |