| NPI | 1164793683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMED KAMRAN AHSAN Owner 937-673-3983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301097463) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2013-08-14 |