NPI | 1487870234 |
---|---|
Former Name | ALEXANDRA B BAISHANSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 104505) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2007-07-08 |