NPI | 1548272065 |
---|---|
Former Name | EMILY LIGA KAZAKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX M9584) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX M9584) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2022-07-15 |