NPI | 1487168688 |
---|---|
Former Name | MONDONA SHAHROKH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A16413) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO4386) |
Enumeration Date | 2017-11-27 |
Last Update Date | 2025-05-14 |