NPI | 1346231156 |
---|---|
Former Name | SURESHCHANDRA J PATEL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 05619R) |
Additional Taxonomies | 208D00000X General Practice (Licence: LA 05619R) |
Enumeration Date | 2005-11-01 |
Last Update Date | 2007-07-08 |