NPI | 1326420894 |
---|---|
Former Name | MARIAH LANE PAGATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.135535) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP682) |
208M00000X Hospitalist (Licence: KY TP682) | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2022-01-25 |