NPI | 1386845030 |
---|---|
Former Name | SHIMONA RAJKUMAR BHATIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q1311) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC DO034320) |
208000000X Pediatrics (Licence: VA 0102202633) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2014-12-16 |