NPI | 1336280130 |
---|---|
Former Name | SUMA NANDAKUMAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX P3568) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P3568) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2021-12-17 |