| NPI | 1235252115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUSHPA NAMBI JOSEPH Owner 405-608-0823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 24655) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 24655) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2020-08-22 |