Individual
DR. RAJAB IDRISS
Active
Individual
DR. RAJAB IDRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L.5314SP
AL
207RI0008X
Hepatology Physician
275246
MA
390200000X
Student in an Organized Health Care Education/Training Program
275426
MA
Other
Enumeration date
04/27/2018
Last updated
08/28/2020
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