NPI | 1518314939 |
---|---|
Former Name | MARY MAMUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OK 7230) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL os16300) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2023-09-14 |