Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 45081 | CA |
NPI | 1073542908 |
---|---|
Provider Name | Hesham Amer |
First Address | San Jose, CA 95131-1621 |
Second Address | San Jose, CA 95131-1621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 08/07/2007 |