| NPI | 1639663750 |
|---|---|
| Former Name | KIRIL ROSSENOV KIRILOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 427634) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-10-19 |