| NPI | 1477861896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DEAN KORNHABER Medical Director 954-499-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: FL OS4139) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |