| NPI | 1508260134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD K. MALIK CEO 386-274-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |