NPI | 1730481177 |
---|---|
Former Name | JAYA SHEELA AMARAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX q7313) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM rs2010-0598) |
207R00000X Internal Medicine (Licence: MA 258109) | |
Enumeration Date | 2010-11-17 |
Last Update Date | 2016-09-19 |