| NPI | 1083856280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO ROGELIO PADRON Owner 402-933-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: IL 336072878) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2022-09-23 |