| NPI | 1780937201 |
|---|---|
| Former Name | FELIKS MKRTUMOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95210996) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 268609) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2020-04-17 |