NPI | 1205985371 |
---|---|
Former Name | DAVID OWSHALIMPUR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 153021) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: NY 153021) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-08 |