| NPI | 1417055708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTABI KALYANAM President 623-915-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: AZ 27627) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |