| NPI | 1760587752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH B FARRIS Owner/President 504-361-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207ZC0500X Pathology, Cytopathology | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-11-08 |