| NPI | 1679809032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREENHALGH Manager 916-420-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: CA C52426) |
| Additional Taxonomies | 247200000X |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2015-03-13 |