| NPI | 1982867875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVINASH GUPTA Owner 803-531-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 21478) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SC 21478) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2014-12-30 |