| NPI | 1497388110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE TSAO Manager 702-496-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2022-08-24 |