| NPI | 1821014580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTANAM DORAI SRINIVASAN CEO 765-891-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-07-04 |