| NPI | 1952637050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GUSS Authorized Official 619-470-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2020-08-06 |