NPI | 1093991564 |
---|---|
Entity Type | Organization |
Authorized Contact | BASSAM MOUSHMOUSH Owner 304-419-0395 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: WV 01010/4730849-01) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2008-01-15 |