| NPI | 1235627472 |
|---|---|
| Former Name | TARIQ AHMED JAMAL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 1235627472) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-02-22 |