| NPI | 1265256176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY SERGEYEVICH PROGUSHEV President 912-658-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 174400000X Specialist |
| 207LC0200X Anesthesiology, Critical Care Medicine | |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |