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 |