New York
Office of the Professions
DAS ASHA
Medicine (Physician, Including M Ds & D Os)
License number
237652
Date granted
09/09/2005
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
SOUTH SAN FRANCISCO CA
nymedicine.org
ID 30122569
LAST UPDATED 2026-06-03 16:26:43 UTC
LAST UPDATED 2026-06-03 16:26:43 UTC
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