| NPI | 1417910811 |
|---|---|
| Former Name | TASNEEM KASSAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 273688) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD00038820) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2023-12-15 |