NPI | 1013085257 |
---|---|
Former Name | MUHAHHAD ALI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NV 13930) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 21858) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2016-06-23 |