| NPI | 1477861045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILIP DESAI Owner 810-600-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2024-07-09 |