| NPI | 1083663652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACIO G. LARDO President 586-573-5267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |