| NPI | 1922401033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB CHRISTOPHER CARUSO C RN A 256-714-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP126421) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |