| NPI | 1255799375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHID IDRISSI Member Owner 919-359-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NC 2007-00587) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: NC 2007-00587) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-05-17 |