NPI | 1114904166 |
---|---|
Former Name | MALLIKARJUN R THATIPELLI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C53592) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2022-07-21 |