| NPI | 1144925967 |
|---|---|
| Former Name | ALI BASIL ALI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2086S0129X (Licence: MO 2025024878) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-08-18 |