NPI | 1285960963 |
---|---|
Entity Type | Organization |
Authorized Contact | HAFIZ KHATTAK Owner 314-961-3038 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 2000161127) |
Enumeration Date | 2009-10-30 |
Last Update Date | 2023-11-08 |