| NPI | 1063231181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR YATSKAR President 857-222-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 208D00000X General Practice | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |