| NPI | 1487002150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD CHRISTOPHER TREANOR Md 985-318-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2020-04-15 |