| NPI | 1366290686 |
|---|---|
| Former Name | PAVLO DIDORCHUK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN39640) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-15 |