| NPI | 1396950424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P CAROSELLI President 208-489-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-10-12 |