| NPI | 1245723428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS DEGIRONEMO Principal 315-796-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q0036) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |