| NPI | 1174564884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN KUNA Authorized Representative 410-876-7921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2021-05-05 |