| NPI | 1417384488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA A PERKEL Member/Manager 478-745-6576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |