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 |