NPI | 1245541994 |
---|---|
Former Name | SMITHA MARY THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.120217) |
Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: OH 35.120217) |
2085N0904X Radiology, Nuclear Radiology (Licence: OH 35.120217) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME117157) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-28 |
Last Update Date | 2020-10-19 |