| NPI | 1659602241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A MILUM Sole Proprietor 502-749-3982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: KY 30409) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |