| NPI | 1356651251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KHAIMOV Owner 347-220-2769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 244768) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |