NPI | 1952318214 |
---|---|
Former Name | DEEPA PRASAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CT 47964) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 47964) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2022-01-24 |