NPI | 1306941711 |
---|---|
Former Name | ILYA Y SELEZNEV |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 240171) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 240171) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2010-05-26 |