NPI | 1063487593 |
---|---|
Former Name | SHRUTI M PHADKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: MD D0063983) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD060228L) |
Enumeration Date | 2006-02-20 |
Last Update Date | 2010-06-24 |