| NPI | 1790496073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAZA ATANELOV CEO/Director/Owner 424-421-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine |
| 207PS0010X Emergency Medicine, Sports Medicine | |
| 207Q00000X Family Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2024-07-03 |