| NPI | 1376159491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIETTA WALKER Director Of Business Development 810-523-5194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-12-28 |