| NPI | 1568700391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NEWMAN Organizing Member 252-414-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TN MD20094) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: TN MD20094) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-07-28 |