| NPI | 1063476661 |
|---|---|
| Former Name | MICHELE SORAYA MOHAMADI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD422605) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD422605) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-05-12 |