| NPI | 1821475179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN COHEN Administrative Chief 954-383-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2021-10-12 |