| NPI | 1407033806 |
|---|---|
| Former Name | MAKSYM YEZHELYEV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: GA 073418) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 073418) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2022-07-08 |