| NPI | 1588636732 |
|---|---|
| Other Name | DMITIRY SEREYEVICH BOLKHOVETS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 042897) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 223385) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-06-25 |