NPI | 1063767531 |
---|---|
Former Name | VANDANA POTARAJU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301101641) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD177204) |
Enumeration Date | 2012-07-19 |
Last Update Date | 2019-01-23 |