| NPI | 1346006772 |
|---|---|
| Other Name | UDARA RAJAGURU |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7735) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 14754) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |