| NPI | 1982906855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUNUS SHAH Owner 270-982-2714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |