| NPI | 1922320357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL R NOBACK Authorized Official 941-360-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |