| NPI | 1891550794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ DESAI President 424-301-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-04-30 |