| NPI | 1861406563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIR E ALI Sole Owner 800-883-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A73147) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |