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 |