NPI | 1093877144 |
---|---|
Former Name | ROMANCHAL MOSAI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 40999) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 40999) |
207R00000X Internal Medicine (Licence: FL 40999) | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2009-12-22 |