| NPI | 1952346793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE WILSON President 704-797-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 9601527) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-11-12 |