NPI | 1053726976 |
---|---|
Former Name | LIA MARIAM THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01087095A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q8369) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2024-07-15 |