NPI | 1366420473 |
---|---|
Former Name | MYRIAM FARKOUH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 249619) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD427342) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2014-01-22 |