| NPI | 1124048905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATHALL M MASHALI President 401-490-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |