NPI | 1215967567 |
---|---|
Other Name | YURY N SKARLAT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 14392) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9103410) |
363AM0700X Physician Assistant, Medical (Licence: CA 14392) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2023-04-02 |