| NPI | 1497711733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMAIL DIRGHAM SALAHI President 904-296-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL OS6845) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |