| NPI | 1104142470 |
|---|---|
| Former Name | ELIZAVETA V ROGOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: ME DEN5249) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: ME MD29441) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: NM DD4981) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2025-09-05 |