NPI | 1629139340 |
---|---|
Professional Name | ILISA DAWN WALLACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 176452) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 176452) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2016-02-02 |