| NPI | 1467261875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM JOSIAH FURA Owner 831-741-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-01-01 |
| Last Update Date | 2025-06-11 |