| NPI | 1376892778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAAN SALLOUM Provider/Owner 253-318-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00016874) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2018-08-23 |