NPI | 1740436229 |
---|---|
Former Name | TINA MATHAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036.127791) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.054721) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO DR.0065838) | |
Enumeration Date | 2008-08-15 |
Last Update Date | 2022-05-12 |