| NPI | 1982991485 |
|---|---|
| Former Name | STEVE YUSUPOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NY 057086) |
| Additional Taxonomies | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: NY 285541) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2022-07-21 |