| NPI | 1518013739 |
|---|---|
| Former Name | RONY TANIOS ABDALLAH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 248786) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0116015909) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-05-12 |