| NPI | 1114177359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSAM Y ANTOIN President/ Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A88484) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A88484) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |