NPI | 1053602235 |
---|---|
Former Name | SUMA KANAKALALITA CHANDRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 279413) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-04-22 |
Last Update Date | 2021-05-26 |