| NPI | 1306344718 |
|---|---|
| Former Name | DMYTRO ULENDYEYEV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0000334) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5013108) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2022-12-19 |