NPI | 1609161231 |
---|---|
Former Name | KSENIA KOLTUN STARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301503468) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 31106) |
207L00000X Anesthesiology (Licence: MI 4301098662) | |
Enumeration Date | 2011-06-11 |
Last Update Date | 2023-03-18 |