NPI | 1912795709 |
---|---|
Entity Type | Organization |
Authorized Contact | DIYAN MOHAMMAD RAZA Provider 989-327-4408 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2025-04-30 |
Last Update Date | 2025-04-30 |