| NPI | 1760506687 |
|---|---|
| Former Name | ALI AZEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101241385) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2013-10-27 |