NPI | 1538424635 |
---|---|
Former Name | DIPAL DINESH PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 022586) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085004972) |
363AM0700X Physician Assistant, Medical (Licence: NC 0010-03611) | |
Enumeration Date | 2012-07-05 |
Last Update Date | 2023-12-06 |