NPI | 1043394109 |
---|---|
Former Name | MOHAMMAD ALI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 043997) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA GEORGIA) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-09-15 |