| NPI | 1902082936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J NELSON Owner 913-234-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: MO R8N03) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-07-31 |