| NPI | 1740338417 |
|---|---|
| Former Name | KHAJA IBRAHIM A |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 54532) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036118178) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 41661) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-10-10 |