| NPI | 1972000461 |
|---|---|
| Former Name | SAM HUSSAM SADIO AL-SAMRRAI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME152025) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V6097) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2025-11-12 |