| NPI | 1720061492 |
|---|---|
| Former Name | MEHRDAD MAZLUMAZDEH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 04-34968) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 34035) |
| Enumeration Date | 2005-11-27 |
| Last Update Date | 2014-11-20 |