| NPI | 1023569852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVGUENI ROUDACHEVSKI Owner 501-227-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AR E-2957) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |