| NPI | 1245272566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL J. PRINCIPE President 123-456-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |