| NPI | 1912952557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ROIG Auth Rep 304-979-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-08-26 |