| NPI | 1871764993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIYI ABLA-YAO Owner 570-490-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: PA MD057849L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD057849L) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: PA MD057849L) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2014-03-20 |