| NPI | 1811168008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARI G EAPEN Owner 252-410-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NC 26226) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |