NPI | 1215032958 |
---|---|
Former Name | PURVI PRADIP SHAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS012202) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H0061312) |
207R00000X Internal Medicine (Licence: MA 235039) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2011-12-02 |