NPI | 1750540142 |
---|---|
Former Name | RONNIE DINA GUREVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2088P0231X Urology Pediatric Urology (Licence: NY 247400) |
Additional Taxonomies | 208800000X Urology (Licence: NY 247400) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2023-12-18 |