NPI | 1245485895 |
---|---|
Former Name | SANJAY AHLAWAT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00663700) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00663700) |
Enumeration Date | 2008-11-24 |
Last Update Date | 2024-05-05 |