| NPI | 1972890796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOWRIHARAN THAIYANANTHAN President 203-376-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A135941) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A103609) |
| 207R00000X Internal Medicine (Licence: CA A31505) | |
| 207T00000X Neurological Surgery (Licence: CA A80845) | |
| 207T00000X Neurological Surgery (Licence: CA A99924) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A130152) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2015-11-02 |