New York
Office of the Professions
SANTAT UDOM
Medicine (Physician, Including M Ds & D Os)
License number
119367
Date granted
03/01/1974
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
BROOKLYN NY
nymedicine.org
ID 30267419
LAST UPDATED 2026-04-07 09:30:09 UTC
LAST UPDATED 2026-04-07 09:30:09 UTC
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