| NPI | 1639607567 |
|---|---|
| Former Name | TOME TAMATY ELYAGUOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB11018800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 303324-01) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2024-10-02 |