NPI | 1386655587 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER J. MENKHAUS Md 803-765-1838 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 16351) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: SC 16351) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2020-08-22 |