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 | 2024-10-30 |