NPI | 1992092886 |
---|---|
Former Name | DEVI V DESAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: OH 50.005791RX) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: NY 017237-1) |
363AS0400X Physician Assistant Surgical (Licence: MD C0004467) | |
Enumeration Date | 2011-06-29 |
Last Update Date | 2018-11-30 |