| NPI | 1508185000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRZEGORZ SKIBA Md/Owner 4023-431-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NE 22596) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NE 22596) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |