NPI | 1730338815 |
---|---|
Former Name | ANNA MATHEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 064711) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 64711) |
207R00000X Internal Medicine (Licence: GA 002500) | |
Enumeration Date | 2008-09-15 |
Last Update Date | 2022-03-29 |