| NPI | 1902006729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MRUGESHKUMAR KANAIYALAL SHAH President 617-504-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX l6174) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX h8442) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |