| NPI | 1033397625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE P GUERRA Manager 702-921-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: NV 11508) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2009-08-25 |