| NPI | 1588615777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME GUERRERO Owner 502-589-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 37035) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: KY 37035) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2014-03-07 |