| NPI | 1205449568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNNY THAKKAR Manager 267-271-8938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |