NPI | 1285088070 |
---|---|
Former Name | DEEPAL PANKAJ SHAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-01549) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036.153137) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-18 |
Last Update Date | 2022-10-27 |