NPI | 1982823290 |
---|---|
Former Name | DEVAKI SIVASUBRAMANIAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME163239) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35091718) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 23141) | |
Enumeration Date | 2007-04-25 |
Last Update Date | 2023-11-22 |