NPI | 1407203300 |
---|---|
Former Name | ANNA KUKHTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: SC 39423) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: VA 0101275631) |
Enumeration Date | 2016-05-20 |
Last Update Date | 2024-09-06 |