| NPI | 1639125701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILESH JOSHI Authorized Official 262-763-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-01-14 |