| NPI | 1114344280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA KORNBLUTH Medical Director 443-693-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: MD D0061293) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2015-08-07 |