| NPI | 1578718821 |
|---|---|
| Former Name | DMITRI SOUZDALNITSKI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.096297) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.096297) |
| 207R00000X Internal Medicine (Licence: OH 35.096297) | |
| Enumeration Date | 2008-11-27 |
| Last Update Date | 2017-06-23 |