| NPI | 1386942605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEGBOYEGA H LAWAL President 262-787-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WI 43754) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 43754) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |