NPI | 1629174024 |
---|---|
Former Name | SUJAL FADIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301106399) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036119020) |
208000000X Pediatrics (Licence: CA A82152) | |
Enumeration Date | 2006-09-15 |
Last Update Date | 2020-10-19 |