NPI | 1396736658 |
---|---|
Other Name | PAMEL M. MALLARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A105572) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WA MD60662702) |
2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD60662702) | |
Enumeration Date | 2005-11-03 |
Last Update Date | 2025-08-21 |