| NPI | 1952527269 |
|---|---|
| Former Name | MOURAD SALIM BALLAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NY 229026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 62998) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-07-25 |