NPI | 1225239908 |
---|---|
Former Name | REENA PANICKAVEETIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD183553) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD) |
207R00000X Internal Medicine (Licence: NC 2015-00216) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2018-12-13 |