| NPI | 1821695081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHANASIOS KOSTANDINOS MANOLE Medical Director 505-800-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-07-19 |