| NPI | 1548553696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAI Q NGUYEN Owner 540-536-6547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2012-06-11 |