NPI | 1891854956 |
---|---|
Former Name | ANNA BOSTANJIAN / BOSTANJYAN/AYVAZYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME97674) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME97674) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2017-05-30 |