NPI | 1891140265 |
---|---|
Other Name | ROASHAN RAZAVI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: CA B5147164) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11066) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2017-09-06 |