| NPI | 1679730931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIGRAN AVAKUMOV President 209-502-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A84384) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A84384) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2009-01-09 |