| NPI | 1790469856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ZAITSEV Managing Member 877-890-9906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 202K00000X |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-10-19 |