| NPI | 1821321340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBB E WILENTZ Physician 954-817-6596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME83520) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME83520) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2010-06-21 |