NPI | 1255655320 |
---|---|
Entity Type | Organization |
Authorized Contact | HAROLD LANCE EVANS Cmo 347-401-0161 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 202320-1) |
Enumeration Date | 2010-03-18 |
Last Update Date | 2010-03-18 |