| NPI | 1700511920 |
|---|---|
| Professional Name | RAFAEL MARDUKHAYEV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 028658) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-11-16 |