| 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 |