| NPI | 1417223942 |
|---|---|
| Former Name | SERGEY BEZPROZVANNYY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD446713) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD60393887) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 268341) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NJ 25MA08911900) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-01-31 |