NPI | 1699098491 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG MICHAEL MATHERNE President 337-457-8040 |
Organization Subpart ? | No |
Primary Taxonomy | 173000000X Legal Medicine (Licence: LA 13221R) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: LA 14666R) |
Enumeration Date | 2010-03-08 |
Last Update Date | 2010-03-08 |