NPI | 1932720596 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJA MUPPAVARAPU Administrator 941-916-2313 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2020-05-05 |
Last Update Date | 2020-05-05 |