| NPI | 1639410723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY PATEL Owner 480-706-0174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-26 |