| NPI | 1720087802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKRAM PATEL President 901-291-2427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN N/A) |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-08-05 |