NPI | 1609825496 |
---|---|
Former Name | GALINA KOFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 226090) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 226090) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2015-12-14 |