NPI | 1114667714 |
---|---|
Entity Type | Organization |
Authorized Contact | RANY TALAL ABDALLAH President 855-932-7426 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
207LP2900X Anesthesiology, Pain Medicine | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
Enumeration Date | 2022-03-31 |
Last Update Date | 2023-09-06 |