| NPI | 1487155354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANINDER S KAHLON Member 623-322-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2019-10-24 |