NPI | 1447508064 |
---|---|
Former Legal Business Name | RAFIK KHAIMOV MEDICAL PC |
Entity Type | Organization |
Authorized Contact | RAFIK KHAIMOV President 917-776-3092 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |