| NPI | 1942435029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ANDREW JOHNSON Chief Officer 9492-499-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A65948) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2011-09-26 |