| NPI | 1376858720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAWAD H RIZVI Do 888-865-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 5101016547) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |