NPI | 1497359103 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTHER CABALLERO-MANRIQUE Physician Owner 802-404-2004 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2020-11-23 |
Last Update Date | 2020-12-03 |