| NPI | 1801091582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR DEKHTYAR Provider 224-805-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036110249) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-10-16 |