| NPI | 1932381522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON L. DILLE M.D./Anesthesiologist 208-733-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ID M7113) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2013-11-05 |