NPI | 1659303766 |
---|---|
Former Name | KAMESHWARI DASARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301077692) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301077692) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2012-05-18 |