NPI | 1942802293 |
---|---|
Entity Type | Organization |
Authorized Contact | NABIL H. HODROJ Organizer 313-467-4466 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
204D00000X Neuromusculoskeletal Medicine & OMM | |
207QS0010X Family Medicine, Sports Medicine | |
Enumeration Date | 2020-11-11 |
Last Update Date | 2020-11-11 |