| NPI | 1093205171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M. MICHAELIS Owner 484-788-1443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2024-03-20 |