NPI | 1598076309 |
---|---|
Former Name | RANA M BALLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WI 63485) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125-058670) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2015-06-12 |