| NPI | 1659067122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP A DEFINA Owner 571-201-8238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-08-16 |