| NPI | 1639676216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHIR DIWAN Owner 212-535-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 209697) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |