| NPI | 1376878132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE S GREEN President 561-498-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: TN ME74889) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: ZZ ME37959) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |