NPI | 1982602074 |
---|---|
Other Name | ZACK CHARKAWI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 061566) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 38121) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 061566) | |
Enumeration Date | 2005-07-12 |
Last Update Date | 2013-12-31 |