NPI | 1174012009 |
---|---|
Former Name | ADAKU LUCIOUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: WA MD61142326) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-05-07 |
Last Update Date | 2021-06-09 |