NPI | 1235438466 |
---|---|
Former Name | LAJU M PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME147135) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NY 278553) |
Enumeration Date | 2011-03-28 |
Last Update Date | 2021-05-11 |