| NPI | 1316011315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOUBRATA V RAIKAR Owner 402-721-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NE 21157) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 21157) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2023-06-27 |