NPI | 1588059059 |
---|---|
Former Name | AYLA BAGEWADI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 00000000) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A169110) |
208M00000X Hospitalist (Licence: CA A169110) | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2022-08-25 |