| NPI | 1972996254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINASH YANAMADULA CEO 386-316-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA07339500) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |