NPI | 1699235333 |
---|---|
Former Name | KENAN ALRADDAWI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 71699) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 71699) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-20 |
Last Update Date | 2022-10-18 |