| NPI | 1720157647 |
|---|---|
| Other Name | HAMID EHSANI-SHISHVAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0065701) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301083403) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-03-11 |