| NPI | 1194165308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA SABSOVICH President 650-580-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A115064) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A115064) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |