| NPI | 1063971596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIMILIAN SHAHRYAR SHOKAT Managing Member 229-226-2234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2020-01-31 |