NPI | 1740674050 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN TAIMOORAZY Authorized Official 224-231-4363 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2015-03-25 |
Last Update Date | 2015-03-25 |