Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | A174088 | CA |
NPI | 1093206658 |
---|---|
Provider Name | Malik Darwish |
First Address | Sacramento, CA 95811-5216 |
Second Address | Sacramento, CA 95811-5216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2018 |
Last Update Date | 05/08/2021 |