NPI | 1093167421 |
---|---|
Former Name | MIKHAIL NEMYTOV |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 308273) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-07-11 |
Last Update Date | 2023-06-29 |