| NPI | 1366963282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAI P. GUTTI Physician 606-437-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: KY 29929) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-08-29 |