NPI | 1174933907 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW MARK LEITZKE Owner 302-287-9914 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2014-05-01 |
Last Update Date | 2014-05-01 |