| NPI | 1760846760 |
|---|---|
| Former Name | TAMEEM ISLAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 3106186) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2020-06-15 |