| NPI | 1851603799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN J PANGALANGAN Member, LLC 937-438-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-06-18 |