| NPI | 1356738686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBRAMANYESWARA GUTTA Partner 810-730-6026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |