NPI | 1467685073 |
---|---|
Former Name | KOMALAVALLI VENKATAKRISHNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD443523) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443523) |
Enumeration Date | 2009-08-30 |
Last Update Date | 2020-08-14 |