NPI | 1114443082 |
---|---|
Former Name | SEYED ALI AGHA MOSALLAIE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X Radiology Nuclear Radiology (Licence: MD D0094814) |
Additional Taxonomies | 2085N0700X Radiology Neuroradiology (Licence: PA MT220985) |
2085N0904X Radiology Nuclear Radiology (Licence: DC MD210012033) | |
Enumeration Date | 2017-08-22 |
Last Update Date | 2023-07-13 |