| NPI | 1548523657 |
|---|---|
| Former Name | KHALDOUN HAJ MAHMOUD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 277622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-38083) |
| 207R00000X Internal Medicine (Licence: CA A153365) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2024-01-03 |