NPI | 1669674610 |
---|---|
Former Name | FATEMA M BAHRAINWALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-115996) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 36115996) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2022-10-21 |