| NPI | 1740601673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MOSHIRI Owner 424-322-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2020-04-23 |