| NPI | 1215927439 |
|---|---|
| Former Name | FEREYDOON MELEK SHALOM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A33545) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2010-07-21 |