| NPI | 1720380512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KYRIAKIDES Medical Director 1201-871-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2085B0100X Radiology, Body Imaging | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |