Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 036.126433 | IL |
NPI | 1033361522 |
---|---|
Provider Name | Ahmad Bayrlee |
First Address | Philadelphia, PA 19114-3461 |
Second Address | Philadelphia, PA 19140-5103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2008 |
Last Update Date | 22/06/2012 |