NPI | 1104081777 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP BROWN President Sole Owner 818-888-7815 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C42562) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA C42562) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2014-10-21 |