NPI | 1013371954 |
---|---|
Former Name | TWARA RAJIV SHAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 290410) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2024-03660) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2025-01-16 |