NPI | 1730575044 |
---|---|
Former Name | SAYEDMAJIDREZA ALAVIDEHKORDI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine Sports Medicine (Licence: FL ME136305) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-13 |
Last Update Date | 2020-01-27 |