| NPI | 1356383053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE BECKER Owner 239-594-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 90976) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: FL ME 90976) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |