| NPI | 1154575462 |
|---|---|
| Former Name | DAVID JOSEPH ALVAVADO-COPENHAVER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A107352) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2010-07-27 |