NPI | 1023647716 |
---|---|
Professional Name | MOHAMED DIANE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 799043055) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2020-04-03 |