NPI | 1174539373 |
---|---|
Former Name | RADHA RAJU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA66863) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 207027) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2012-11-20 |