| NPI | 1457813420 |
|---|---|
| Former Name | IDIRIS I MOHAMED |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 76850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 76850) |
| 207R00000X Internal Medicine (Licence: MN 71804) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-09-21 |