NPI | 1437214210 |
---|---|
Other Name | DMITRY KHASAK, M.D. |
Entity Type | Organization |
Authorized Contact | DMITRY KHASA President 201-626-4040 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA06377000) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 1194054) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2020-08-22 |