| NPI | 1427025105 |
|---|---|
| Professional Name | OLEG FOMITCHEV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08109100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 26893) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2017-04-04 |