| NPI | 1073774188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURI TSIRULNIKOV Owner 319-541-5940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2008010728) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2010-08-18 |