NPI | 1932819653 |
---|---|
Professional Name | MALIK I BANGURA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C08801) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2022-12-05 |
Last Update Date | 2023-04-19 |