NPI | 1851800361 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRSTEN LEIGH SMITH Sole Member/Medical Director 210-575-4334 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Enumeration Date | 2017-09-27 |
Last Update Date | 2017-09-27 |