| 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 | 2025-02-11 |