| NPI | 1790086890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN DARBANDI-TONKABON Owner/President 314-482-4827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 41058) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 41058) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2013-01-25 |