| NPI | 1013230945 |
|---|---|
| Other Name | SASHA BACHAYEV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 09-316) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CO 09-316) |
| Enumeration Date | 2010-03-06 |
| Last Update Date | 2014-04-05 |