Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 258 | MP |
NPI | 1174658215 |
---|---|
Provider Name | Dr. Benjamin Aurthur Sawer |
First Address | Saipan, MP 96950 |
Second Address | Saipan, MP 96950 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 08/07/2007 |