| NPI | 1184689523 |
|---|---|
| Former Name | NAIL BAGAOUTDINOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: KY 39027) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 268055) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2013-11-12 |