| NPI | 1336700160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAECHI ERONDU Principal 443-414-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-04-30 |