| NPI | 1144461211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R GIBBONS Sole Member 910-673-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |