NPI | 1548671092 |
---|---|
Former Name | REBECCA KOSOWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M-15109) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-15109) |
Enumeration Date | 2014-05-17 |
Last Update Date | 2020-09-24 |