| NPI | 1447755178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHSAN ABDESHAHIAN Owner 410-800-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2020-12-14 |