| NPI | 1336367226 |
|---|---|
| Former Name | YEVGENIY YEVRAYEV |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2008009812) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO BB4745785) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-03-19 |