NPI | 1871880138 |
---|---|
Former Name | MARISA JACOB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 316592) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 316592) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA R9290) | |
Enumeration Date | 2011-07-06 |
Last Update Date | 2023-07-17 |