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 |