| NPI | 1922432335 |
|---|---|
| Former Name | TAMUNA CHADASHVILI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: WA MD60713783) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: RI 15115) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2022-07-21 |