| NPI | 1972526929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA FIELDS Client Service Manager 410-398-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DE L6-0A00075) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE L6-0A00074) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-05-05 |