NPI | 1174714299 |
---|---|
Former Name | BHAVIKA RUTESH DAVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MS 23310) |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: VA 0101274966) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2023-11-17 |