| NPI | 1457727232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ FAROOQUI Owner 251-517-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AL 28820) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-12-09 |