NPI | 1275280711 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN S TOMA Owner 248-470-8912 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2022-03-04 |
Last Update Date | 2022-11-21 |