| NPI | 1720748569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHMUEL KAUFMAN Owner 754-300-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-23 |