| NPI | 1407383870 |
|---|---|
| Former Name | ATABAK ASVADI KERMANI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO 2021045661) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD-46501) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: KS 04-45327) | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2024-05-29 |