NPI | 1558456517 |
---|---|
Other Name | ILYA REYTER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA a79982) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA a79982) |
207NS0135X Dermatology, Procedural Dermatology (Licence: CA a79982) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2022-08-08 |