NPI | 1598712101 |
---|---|
Entity Type | Organization |
Authorized Contact | RUDOLFO S LASTRILLA Authorized Official 414-302-9196 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2006-05-28 |
Last Update Date | 2025-09-11 |