| NPI | 1902142987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSHINOBU MIFUNE President/CEO 610-442-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CA C54792) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C54792) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-21 |