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Individual
RONNIE IBRAHIM
Active
Individual
RONNIE IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
291108
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
291108
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/19/2018
Last updated
07/13/2022
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