| NPI | 1770856288 |
|---|---|
| Former Name | KEVIN SHAHROOZ FATTAHI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 3947-320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036-167874) |
| 207L00000X Anesthesiology (Licence: TX p1735) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2024-09-27 |