| NPI | 1710336243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVID BAKSH Owner 833-365-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NC 2012-01181) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-04-07 |