NPI | 1821339797 |
---|---|
Former Name | MUSSOP RAMZI MOHAMMAD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 5101020789) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 5101020789) |
207R00000X Internal Medicine (Licence: MI 5101020789) | |
207R00000X Internal Medicine (Licence: NY 301155-01) | |
Enumeration Date | 2013-03-02 |
Last Update Date | 2020-06-25 |