| NPI | 1598835373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUBERT F BONFILI Medical Director 336-744-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: NC 9300041) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |