NPI | 1578917811 |
---|---|
Former Name | SUSANNA ADEBOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 59918) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 59918) |
Enumeration Date | 2016-04-22 |
Last Update Date | 2025-08-29 |