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 |