| NPI | 1174853626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS SORIANO SANTIAGO Medical Doctor 301-724-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: MD D27107) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |