NPI | 1639584279 |
---|---|
Former Name | FAITHFUL OSAREKPAMA IGHALO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036142779) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125065751) |
207R00000X Internal Medicine (Licence: IL 036142779) | |
Enumeration Date | 2014-06-23 |
Last Update Date | 2021-03-17 |