| NPI | 1457813453 |
|---|---|
| Former Name | ALI MOHAMMED MUSTAFA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2022-1310) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-09-26 |