| NPI | 1730728619 |
|---|---|
| Former Name | JAMAL ATHARI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 9064) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CT 10.126810) |
| Enumeration Date | 2019-12-25 |
| Last Update Date | 2020-08-04 |