| NPI | 1003290750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDEL K EL TAL President 313-312-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MI 4301089516) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |