| NPI | 1619347309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE VICTOR Management 888-620-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME100973) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |