NPI | 1154539815 |
---|---|
Former Name | HAWA SAMANYA MASSAQUOI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D81699) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101242755) |
208000000X Pediatrics (Licence: VA 0101242755) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2018-05-29 |