| NPI | 1285157735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GIBERT President 843-801-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 22773) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |