NPI | 1407315948 |
---|---|
Entity Type | Organization |
Authorized Contact | MAXIMILIAN SHAHRYAR SHOKAT Managing Member 229-226-2234 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2019-03-14 |
Last Update Date | 2020-01-31 |