| NPI | 1184152001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMAD S ATTALLAH-WASIF Owner And President 774-473-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 31431) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 31431) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 31431) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-07-07 |