| NPI | 1548474448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL PUPIALES Owner 505-350-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NM 2000-92) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NM 200-92) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2012-10-16 |