NPI | 1154618957 |
---|---|
Former Name | RATNA CHANDANA MEDICHERLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 289862-1) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-06-30 |
Last Update Date | 2020-02-03 |