| NPI | 1912130584 |
|---|---|
| Former Name | TWANA H FARAJ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101251210) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01628) |
| 207R00000X Internal Medicine (Licence: TN 65527) | |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2022-08-31 |