| NPI | 1154349827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY H MILLER Owner 502-690-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-12-13 |