| NPI | 1558588871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL MORTON Treasurer 559-449-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-03-17 |