NPI | 1467778738 |
---|---|
Former Name | SAMAREH GHORBANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2016-01292) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0010915) |
2080B0002X Pediatrics, Obesity Medicine (Licence: NC 2016-01292) | |
Enumeration Date | 2010-04-12 |
Last Update Date | 2022-05-10 |