NPI | 1639115561 |
---|---|
Former Name | MEGAN VIJAY SHAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 36709) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-114813) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2018-07-02 |