NPI | 1174710503 |
---|---|
Former Name | PADMAJA KAKANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 246088) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 246088) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2020-11-18 |