NPI | 1104884949 |
---|---|
Entity Type | Organization |
Authorized Contact | MALLORY STANTON MILAM President 310-415-9954 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A78479) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2020-08-22 |