| NPI | 1972907574 |
|---|---|
| Former Name | REZA KHOSRAVANI GOSHTASEB |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A144426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A144426) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2020-12-29 |