NPI | 1306166038 |
---|---|
Former Name | GILLIAN TAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR 177049) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AR E-10228) |
Enumeration Date | 2010-06-04 |
Last Update Date | 2017-04-09 |