NPI | 1063423374 |
---|---|
Former Name | MADHAVI K MANIAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS017383) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102201874) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2016-01-11 |