| NPI | 1316188774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM TITSWORTH Rpa 501-812-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-07-15 |