| NPI | 1629582176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT BITTNER Director 805-644-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |