| NPI | 1467405944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ROIG Authorized Rep 304-797-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-04-20 |