| NPI | 1689203093 |
|---|---|
| Professional Name | FAROOQUE AZAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95014104) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 65014104) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2023-04-10 |