| NPI | 1407116056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANI DAVID SANUSI President 706-660-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 036450) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 036450) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-10-12 |