| NPI | 1689607194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN L GORDON Sole Owner 800-883-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A25996) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A25996) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-04-11 |