NPI | 1841262318 |
---|---|
Former Name | DEEPICA GANTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME95186) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME95186) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2023-10-30 |