NPI | 1194880401 |
---|---|
Former Name | IRINA BOBROVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D52832) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD30190) |
207R00000X Internal Medicine (Licence: VA 0101056877) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2022-01-07 |