| NPI | 1255787081 |
|---|---|
| Former Name | PONEH MEHRPOOYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036148659) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.068150) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2019-06-20 |