NPI | 1114287497 |
---|---|
Former Name | SHERVIN FOULADI RAD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A135003) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q1601) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2020-10-07 |