NPI | 1396150736 |
---|---|
Former Name | RUSHA SHAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A148298) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014016674) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2020-11-12 |