NPI | 1376555862 |
---|---|
Former Name | SHELLY BAGAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA A114121) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008550) |
207W00000X Ophthalmology (Licence: WA ML20008550) | |
Enumeration Date | 2006-08-12 |
Last Update Date | 2013-01-31 |