| NPI | 1568670099 |
|---|---|
| Former Name | YELENA LEONIDOVNA KOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60170019) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N0416) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2010-08-18 |