| NPI | 1164576591 |
|---|---|
| Former Name | ILYA MEYER BABABEKOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN17365) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NY 043110) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |