| NPI | 1568833002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ELKERSH Manager/Member 985-345-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |