NPI | 1538290390 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE DAVID BOJRAB Doctor 260-490-2525 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2007-03-07 |
Last Update Date | 2013-01-24 |