| NPI | 1407995517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G CASSARO President 502-891-8973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 22779) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |