| NPI | 1942354238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD HOSSEINIAN Owner 808-281-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036-107905) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |