| NPI | 1235149493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITTIKOM JANTARASAMI Chairman 410-535-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-09-11 |