NPI | 1154399178 |
---|---|
Former Name | KAREN KOLODZIEJCZAK |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA OS005273L) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS005273L) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2011-10-19 |