NPI | 1518168020 |
---|---|
Former Name | MARY KATTA MATHEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301086166) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301086166) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2022-05-18 |