| NPI | 1639305618 |
|---|---|
| Former Name | MARIANNA SULTANOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01087611A) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101253114) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 46916) | |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2022-08-26 |