| NPI | 1952307308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO G GONZALEZ Director 601-649-5842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: MS 6914) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MS 06914) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2008-01-24 |