NPI | 1700230919 |
---|---|
Former Name | RENEE TEHRANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MB10609100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016990) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2019-09-12 |