| NPI | 1073773214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. EMDADUL HAQUE Owner 386-427-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME0076036) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |