NPI | 1255382677 |
---|---|
Former Name | KAREN SAGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 008672) |
Additional Taxonomies | 174400000X Specialist (Licence: CO 40375) |
207R00000X Internal Medicine (Licence: CO 40375) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2021-07-22 |