NPI | 1760916910 |
---|---|
Former Name | SARANYA PURUSHOTHAMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MN 64209) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 1760916910) |
207N00000X Dermatology (Licence: MN 28984) | |
Enumeration Date | 2017-04-14 |
Last Update Date | 2020-08-26 |