| NPI | 1164696282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSHTAQUE JUNEJA Owner 502-629-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-08-08 |