| NPI | 1982084497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO BORREGO Owner/President 734-212-3097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI E64971) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI E64971) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-10-25 |