| NPI | 1558822643 |
|---|---|
| Former Name | BEN AZIZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2013019954) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO 2023019954) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-04-16 |