NPI | 1023496452 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER GLEIS Owner 813-510-4970 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL me 113016) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL os11139) |
207X00000X Orthopaedic Surgery (Licence: FL me109696) | |
Enumeration Date | 2015-05-18 |
Last Update Date | 2015-07-06 |