| NPI | 1932522109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKARRAM A. KHAN Do/Owner 937-322-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-05-19 |