| NPI | 1669731204 |
|---|---|
| Former Name | ELENA VLADIMIROVNA IZBENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR MD171474) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2017-08-04 |