| NPI | 1104643717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN AGANS Owner 228-865-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |