NPI | 1578886180 |
---|---|
Entity Type | Organization |
Authorized Contact | MANONMANI ANTONY Owner 302-519-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
208100000X Physical Medicine & Rehabilitation | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2010-03-10 |
Last Update Date | 2018-10-11 |