| 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 |