NPI | 1194108134 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDEEP VAID Owner 678-489-5414 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: GA 66095) |
Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: GA 66095) |
208VP0014X Pain Medicine Interventional Pain Medicine (Licence: GA 66095) | |
Enumeration Date | 2015-07-08 |
Last Update Date | 2015-09-03 |