| NPI | 1568872620 |
|---|---|
| Former Name | HOOMAN RAHIMZADEH HERAVI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX q7054) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2020-09-03 |