NPI | 1649264060 |
---|---|
Former Name | HARISH G SHAH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A84747) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A84747) |
Enumeration Date | 2005-08-31 |
Last Update Date | 2012-12-17 |