| NPI | 1225336639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK DRUET CEO 951-506-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |