| NPI | 1235414905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DICKSON President 619-258-6200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: AZ 4064) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |