| NPI | 1649706193 |
|---|---|
| Former Name | SOORYA KRISHNAN NAMBOODIRI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MD H0092882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017722) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2023-06-09 |