NPI | 1972815595 |
---|---|
Entity Type | Organization |
Authorized Contact | LI MA Member 352-212-5567 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2010-07-12 |
Last Update Date | 2010-07-12 |