| 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 |