| NPI | 1003260522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LARKIN Credentialing Specialist 434-200-5047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LH0002X Anesthesiology, Hospice and Palliative Medicine |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |