| NPI | 1538868310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER E DISTLER CEO 631-393-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Additional Taxonomies | 209800000X Legal Medicine |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |