| NPI | 1699898700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LI MA President 813-345-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |