NPI | 1366950743 |
---|---|
Former Name | BUCY ANNIE RAJAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OK 93257) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 93257) |
Enumeration Date | 2018-01-19 |
Last Update Date | 2020-07-17 |