| NPI | 1992769939 |
|---|---|
| Former Name | SHYAMALI MALLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A79445) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA A79445) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-10-19 |