| NPI | 1518156355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOBHA GUPTA Authorized Officer 866-511-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-12-04 |