| NPI | 1235465089 |
|---|---|
| Former Name | REZA MESBAH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 261697) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA C168003) |
| 207Q00000X Family Medicine (Licence: VA 0101248524) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2024-01-24 |