| NPI | 1023291705 |
|---|---|
| Former Name | MALEK A KANAMA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX R8389) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME103010) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2023-07-17 |