| NPI | 1376953109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY JUNG Officer 469-401-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |