NPI | 1912155789 |
---|---|
Former Name | ANTON A. CHARAPOV |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301095918) |
Additional Taxonomies | 208600000X Surgery (Licence: WI 51639-20) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2015-11-19 |