| NPI | 1124120498 |
|---|---|
| Former Name | DIMITRA BARABOUTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 251938) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301081475) |
| 208C00000X Colon & Rectal Surgery (Licence: MI 4301081475) | |
| 208C00000X Colon & Rectal Surgery (Licence: NY 251938) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2009-04-01 |