| NPI | 1528836756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI JAFFER Owner 248-515-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-07-11 |