NPI | 1558673137 |
---|---|
Former Name | ALISHER SIMONOV |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 260286) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 260286) |
Enumeration Date | 2010-07-12 |
Last Update Date | 2011-04-06 |