| NPI | 1770846180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOOD AHMAD Md 501-834-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AR E1687) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2015-09-23 |