| NPI | 1508213703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATVINDER S. DHESI Owner 262-797-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD60335313) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60335313) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD60335313) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |