| NPI | 1851662464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E LAZARUS President 949-361-4726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: CA G23575) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G23575) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |