| NPI | 1558306381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA VOLFSON President 563-324-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-09-22 |