Individual
DR. FIRAS BANNOUT
Active
Individual
DR. FIRAS BANNOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
A100375
CA
2084N0600X
Clinical Neurophysiology Physician
Primary
A100375
CA
Other
Enumeration date
01/13/2009
Last updated
01/08/2014
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