| NPI | 1174676811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANESH R BALU President 302-734-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |