NPI | 1154513505 |
---|---|
Former Name | VAIDOTAS PETRUSKEVICIUS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036118601) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036118601) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2023-03-07 |