NPI | 1922230770 |
---|---|
Former Name | DOMINIKA GABRIELA MAZUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 8693550-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 268056) |
Enumeration Date | 2009-08-12 |
Last Update Date | 2014-03-04 |