| NPI | 1407059413 |
|---|---|
| Other Name | NADER TAVAKOLI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0041978) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MD D0041978) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-08-27 |