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 |