| NPI | 1558456640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDFORD M SCHOCKET Sole Proprietor 800-883-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A91164) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A91164) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |