NPI | 1053600064 |
---|---|
Former Name | POOJA SHAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A123263) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036139740) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2019-08-26 |