| NPI | 1851861165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITESWAR PUREWAL Partner 888-990-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2019-05-23 |