| NPI | 1215016001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAN Q LE President 954-426-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME0082315) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME0082315) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |