| NPI | 1306140660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD BOLNICK Owner 800-939-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |