NPI | 1619243698 |
---|---|
Former Name | ALEXANDRA FRYDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NY 321064) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207N00000X Dermatology (Licence: NY 321064) | |
207N00000X Dermatology (Licence: PA MD459115) | |
207ZD0900X Pathology, Dermatopathology (Licence: PA MD459115) | |
207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD459115) | |
Enumeration Date | 2012-03-23 |
Last Update Date | 2024-12-19 |