| NPI | 1548554074 |
|---|---|
| Former Name | TAMARA IASHVILI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 279657) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: IL 036.135063) |
| 207R00000X Internal Medicine (Licence: VA 0101259282) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2015-12-16 |