NPI | 1609873595 |
---|---|
Former Name | SARAH DAWN TASHJIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: UT 7992432-1205) |
Additional Taxonomies | 208600000X Surgery (Licence: RI RI10969) |
2086S0127X Surgery, Trauma Surgery (Licence: RI MD10969) | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2016-08-24 |