NPI | 1104172188 |
---|---|
Former Name | CHITRA DEEPAK PUNJABI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 299158) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455584) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT200996) | |
Enumeration Date | 2012-07-27 |
Last Update Date | 2019-10-22 |