| NPI | 1629783857 |
|---|---|
| Former Name | SHAWKAT SHEHATA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000266197) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-11-17 |