| NPI | 1033528385 |
|---|---|
| Former Name | ALA ZEYAD AL JAMAL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PTL7031) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA51817) |
| 363AS0400X Physician Assistant, Surgical (Licence: CA PA51817) | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2021-12-11 |