| NPI | 1962931261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO ESTEBAN ADAMS Partner 517-214-4803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301090600) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: MI 4301090600) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MI 4301090600) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301090600) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-08-26 |