NPI | 1235365289 |
---|---|
Entity Type | Organization |
Authorized Contact | FERNANDO BERMUDEZ Medical Director 586-447-5110 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2009-06-04 |
Last Update Date | 2009-06-04 |