| NPI | 1225213689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL A MARTINEZ Owner 410-687-2656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D30809) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D30809) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2013-03-11 |