NPI | 1184015448 |
---|---|
Former Name | RITI JAGRUT MAHADEVIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD469683) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MT210302) |
Enumeration Date | 2015-02-09 |
Last Update Date | 2021-02-17 |