| NPI | 1326430208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN Z KORANLOO Physician 803-764-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 23150) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2020-01-06 |