| NPI | 1053748194 |
|---|---|
| Other Name | SYED MAYSAM MORTAZAVI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 60700) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2020-01-21 |