| NPI | 1609842509 | 
|---|---|
| Former Name | KHADIM HUSSAIN | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX k8221)  | 
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX K8221)  | 
| Enumeration Date | 2006-02-28 | 
| Last Update Date | 2024-06-20 |