| NPI | 1164828570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD SHARMA Owner 248-747-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MI 4301050478) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-18 |