| NPI | 1508815127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROBERT TAYLOR Office Manager 844-836-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-02-10 |