| NPI | 1104009265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOBI PARAMANANDAM Member Manager 480-889-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 24521) |
| Additional Taxonomies | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: AZ 24521) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 24521) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 24521) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2023-07-31 |