NPI | 1912175027 |
---|---|
Former Name | JULIA BULATOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: PA MD448684) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT187860) |
Enumeration Date | 2008-02-12 |
Last Update Date | 2013-08-06 |