NPI | 1407081698 |
---|---|
Former Name | OLGA FITASOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036-138100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P7638) |
208000000X Pediatrics (Licence: TX P7638) | |
Enumeration Date | 2009-05-18 |
Last Update Date | 2021-03-18 |