| NPI | 1750956652 |
|---|---|
| Other Name | ABDAL-RAHMAN IBRAHIM EL-MALLAH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4351048550) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-07-03 |