| NPI | 1164759189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ALPEROVICH Physcian/Owner 731-215-1281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME70679) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2017-04-04 |