| NPI | 1609134501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHURAM A SIAL Owner/Medical Director 909-276-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A90421) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2015-06-03 |