| NPI | 1306371984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN JAYAKAR President 734-474-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MI 4301086680) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |