| NPI | 1114768843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD K ALI Owner 317-775-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology Pain Medicine |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |