NPI | 1740631191 |
---|---|
Former Name | MELBY PHILIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T3420) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 13219986-1205) |
207R00000X Internal Medicine (Licence: IL 125.068414) | |
Enumeration Date | 2016-06-28 |
Last Update Date | 2023-03-29 |