| NPI | 1497085377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN BACHAYEV Sa C 720-201-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 273Y00000X Rehabilitation Unit (Licence: CO 09264) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2020-07-29 |