| NPI | 1013782861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MUSIC Oa 877-892-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
| 207P00000X Emergency Medicine | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2024-01-25 |