| NPI | 1902625775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAKOV GRINBERG Co Owner 425-453-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |