| NPI | 1487193751 |
|---|---|
| Former Name | TAHIR SALEEM ANSARI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S1041) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2021-01-22 |