| NPI | 1164702197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISPINO SANTOS SANTOS President 702-434-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 44282) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |