NPI | 1083739882 |
---|---|
Former Name | MELISSA MARAL MARDIROS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA A83426) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83426) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2021-11-01 |