NPI | 1750773727 |
---|---|
Entity Type | Organization |
Authorized Contact | PABLO J BASSUK Owner/Authorized Official 747-273-1129 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A99057) |
Enumeration Date | 2015-02-26 |
Last Update Date | 2024-07-09 |