| NPI | 1003244070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHZAD AALAEI President 219-805-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA c55647) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA c55647) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: CA c55647) | |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: CA c55647) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA c55647) | |
| 207Q00000X Family Medicine (Licence: CA c55647) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA c55647) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CA c55647) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CA c55647) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA c55647) | |
| 208D00000X General Practice (Licence: CA c55647) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA c55647) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA c55647) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |