NPI | 1891367819 |
---|---|
Entity Type | Organization |
Authorized Contact | GILBERT MBEO Owner 443-839-4889 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 2084P2900X Psychiatry & Neurology, Pain Medicine |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2021-07-12 |
Last Update Date | 2023-07-18 |