NPI | 1508983644 |
---|---|
Other Name | KAY MUKKAVILLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 29911) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME134144) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME134144) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2020-02-26 |