NPI | 1285991372 |
---|---|
Former Name | DANNY BURAKOVSKY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.133853) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-04-13 |
Last Update Date | 2021-01-12 |