| NPI | 1508996653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA BOTHRA Owner 586-755-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301033013) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-08-28 |