NPI | 1487283172 |
---|---|
Former Name | ABHINAV REDDY PONNALURU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A22259) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A22259) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2023-12-21 |