NPI | 1255759585 |
---|---|
Former Name | OMAR HASSAN AL BAZZAZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R3033) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX R3033) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2017-09-25 |