NPI | 1639154479 |
---|---|
Other Name | AL TOM SU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NJ 25MA07319800) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AK 5671) |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 228545) | |
Enumeration Date | 2005-12-14 |
Last Update Date | 2012-08-07 |