NPI | 1245460609 |
---|---|
Former Name | IMOLA DANIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 254567) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY medical resident) |
207RI0200X Internal Medicine, Infectious Disease (Licence: MA 254567) | |
Enumeration Date | 2009-07-20 |
Last Update Date | 2014-01-27 |