NPI | 1356785364 |
---|---|
Former Name | ILYA KVASHA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X (Licence: CA a132508) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A132508) |
Enumeration Date | 2013-04-21 |
Last Update Date | 2025-03-19 |