| NPI | 1790995645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN SHIELDS COUSINEAU President 310-557-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G50372) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |