NPI | 1063853257 |
---|---|
Former Name | MOHAMMED H ALI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX R9906) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R9906) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2021-09-29 |