NPI | 1811257934 |
---|---|
Former Name | ELIZABETH CYGANOSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI DO00930) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI DO00930) |
207R00000X Internal Medicine (Licence: FL UO2738) | |
Enumeration Date | 2012-05-23 |
Last Update Date | 2023-02-20 |