NPI | 1356784375 |
---|---|
Professional Name | MICHAEL YURY KOBAKOV |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA DN1857895) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 11809) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2018-07-30 |