NPI | 1992841399 |
---|---|
Former Name | DIVYA GUPTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D69428) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD P19723) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2013-01-05 |