NPI | 1235250820 |
---|---|
Former Name | ADEBOLA ADENIRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 256265) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA08768300) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2019-08-21 |