NPI | 1649516717 |
---|---|
Doing Business As | GEORGIY BRUSOVANIK |
Entity Type | Organization |
Authorized Contact | JASON TOCCI CEO 954-410-5194 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MDR-4545) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2012-12-18 |