NPI | 1982907119 |
---|---|
Entity Type | Organization |
Authorized Contact | MINDAUGAS VIELAVICIUS Owner 253-333-1637 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD00042920) |
Enumeration Date | 2010-12-09 |
Last Update Date | 2010-12-09 |