| NPI | 1003259060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER J MAH President/Sole Owner 123-456-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G77107) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-04-17 |