| NPI | 1376936542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL R NOBACK Medical Director 888-337-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |