| NPI | 1447545827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ELI HALPERT President 540-423-6239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: VA 0102202833) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102202833) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: VA 0102202833) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: VA 0102202833) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2014-04-15 |