| NPI | 1184648362 |
|---|---|
| Former Name | EDWIN BURDETTE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME92323) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME92323) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-11-12 |