NPI | 1063620607 |
---|---|
Former Name | MARIA RUSTAM KHATTAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036125379) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 57.012013) |
207Q00000X Family Medicine (Licence: IL 036.125379) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2023-08-10 |