| NPI | 1033213665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SION LEVY Owner 314-205-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: MO 2005016206) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-04-23 |