NPI | 1861746935 |
---|---|
Former Name | SAMIR S HADI-TAMIMI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 72016) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD461320) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO Pending) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-10-29 |
Last Update Date | 2021-11-22 |