| NPI | 1235364894 |
|---|---|
| Former Name | TARIQ HESHAM M. BALAWI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60464381) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A115992) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2018-12-07 |