| NPI | 1205128972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL KOGAN Medical Doctor 718-544-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |