Individual
ILYA J. SOBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101264201
VA
208800000X
Urology Physician
56726
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447513353
—
VA
Enumeration date
06/18/2012
Last updated
06/12/2019
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