| NPI | 1366998957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN LEE CEO 443-490-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |