| NPI | 1285966200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAROOQUE S KHAN Owner 336-586-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2009-02055) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2012-05-23 |