| NPI | 1851790778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINAI VISHWANATH Owner 404-400-2683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 55994) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |