| NPI | 1306344718 | 
|---|---|
| Former Name | DMYTRO ULENDYEYEV | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP025446) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5013108) | 
| 363L00000X Nurse Practitioner (Licence: DE LP-0000334) | |
| Enumeration Date | 2018-01-31 | 
| Last Update Date | 2025-04-25 |