| NPI | 1609692045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALD SOROUR Owner 401-692-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |