| NPI | 1487972766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID AREF OSTA Provider 313-586-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301085721) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2022-08-16 |