NPI | 1164866877 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID BASSIN CEO 855-689-5105 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Additional Taxonomies | 208600000X Surgery |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine | |
207R00000X Internal Medicine | |
Enumeration Date | 2013-04-24 |
Last Update Date | 2023-06-01 |