NPI | 1063612166 |
---|---|
Former Name | DIPTI PRAKASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D73218) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD044959) |
207R00000X Internal Medicine (Licence: VA 0101252659) | |
Enumeration Date | 2007-07-18 |
Last Update Date | 2021-07-12 |