| NPI | 1851446207 | 
|---|---|
| Former Name | POONAM M MANGAL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 102417) | 
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO 102417) | 
| Enumeration Date | 2007-01-24 | 
| Last Update Date | 2024-05-06 |