| NPI | 1730509662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR KHAIMOV President 718-785-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 248464) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2016-01-04 |