| NPI | 1255423703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LATTOS President 262-787-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-04-26 |