NPI | 1104322205 |
---|---|
Former Name | CYIL KOUZNETSOV |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A194935) |
Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA A194935) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-05 |
Last Update Date | 2024-07-30 |