| NPI | 1790715910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATHALLA M MASHALI President 401-490-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |