| NPI | 1932463478 |
|---|---|
| Former Name | DEDDEH BALLAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A129332) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A129332) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2024-08-15 |