NPI | 1740572395 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN KEITH GAMBLE President 818-985-1221 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA A76121) |
Additional Taxonomies | 293D00000X Physiological Laboratory |
Enumeration Date | 2011-05-13 |
Last Update Date | 2024-08-09 |