NPI | 1275105710 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER KENNEDY Authorized Official 207-807-9009 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2021-07-14 |
Last Update Date | 2025-08-05 |