| NPI | 1568158418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN KANJI Authorized Official 770-823-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |